Robert L Gordon is a Clinical in Dublin, Ohio. Robert L Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert L Gordon is 1679626923. The last update date is 2012-03-08.
Robert L Gordon's current location address is 5174 Blazer Parkway, Dublin, Ohio. You can contact this provider via phone number 6147929104 and fax number 6147922382. The mailing address for Robert L Gordon is 5174 Blazer Parkway, Dublin, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert L Gordon |
|---|---|
| Address | 5174 Blazer Parkway, Dublin, Ohio |
| Phone Number | 6147929104 |
| Fax Number | 6147922382 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1679626923 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 5174 Blazer Parkway |
|---|---|
| City | Dublin |
| State | Ohio (OH) |
| Post Code | 43017 |
| Phone Number | 6147929104 |
| Fax Number | 6147922382 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4346 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113095 | MHN | ||
| 26591 | TRICARE | ||
| 815523 | OH | -- | |
| 542647 | ANHEUSER BUSCH | ||
| 119574 | ANTHEM BC BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Robert L Gordon by the Centers for Medicare & Medicaid Services?
The Robert L Gordon has been assigned the NPI (National Provider Identifier) 1679626923 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Robert L Gordon's facilities are geographically located?
The facilities of Robert L Gordon are physically situated at the following location: 5174 Blazer Parkway, Dublin, OH, 43017.
What is the Robert L Gordon's area of specialization and corresponding taxonomy classification?
The Robert L Gordon's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679626923 to Robert L Gordon?
The Centers for Medicare & Medicaid Services originally issued the 1679626923 to Robert L Gordon on 2007-01-19.
When was the information regarding Robert L Gordon most recently updated?
The details pertaining to the Robert L Gordon, including its address, specialty, and other relevant information, were last refreshed on 2012-03-08.
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